PINK LADY MEDICINEdoctkhalil
PINK LADY MEDICINE is referred to as the combination of xylocaine viscous jelly and a liquid antacid. The combination consists usually of 20 ml of liquid antacid with 10 ml of xylocaine gel. Some form of anticholinergic drug can also be part of the mixture such as isopropramide iodide. The mixture has a pink color, thus the name pink lady.
PINK LADY MEDICINE , as explained above, is a mixture used in emergency room settings, sometimes. A doctor can advise the intake of this mixture in cases of severe epigastric or chest pain that is most likely to be gastrointestinal in etiology rather than due to a cardiac cause.
In some cases where a patient presents with GERD (Gastroesophageal Reflux Disease) or gastritis or esophagitis due to erosions or ulceration, Proton pump inhibitors like pantoprazole or esomeprazole are usually given parenterally along with anti spasmodic medication such as phloroglucinol and Trimethyl Phloroglucinol combination or drotaverine or hyoscine butylbromide. If the pain is accompanied by vomiting then anti emetics can also be advised. In unremitting pain, though not recommended, doctors may also advise pink lady for therapeutic purposes to alleviate the pain associated with these conditions. Let me repeat , It is not standard practice to do so. This should not be used first line as there is fear of systemic absorption and subsequent pro arrhythmic effects of lidocaine.
If the chest pain or epigastric pain completely and rapidly subsides with the administration of PINK LADY MEDICINE mixture, then its most likely that the pain was due to a gastrointestinal or esophageal cause e.g gastritis, esophagitis etc. Proton pump inhibitors and gastro kinetic medication would be indicated in such a patient for adequate control of symptoms.
If the pain persists despite the administration of the aforementioned mixture then further workup regarding a cardiac cause and other disorders should be considered including Myocardial infarction, pancreatitis, cholecystitis, Costochondritis etc.